Healthcare Provider Details

I. General information

NPI: 1639428550
Provider Name (Legal Business Name): KAREN D HUNT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN D WYATT FNP

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 06/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 STATE ST
NEW ALBANY IN
47150-4990
US

IV. Provider business mailing address

PO BOX 950248
LOUISVILLE KY
40295-0248
US

V. Phone/Fax

Practice location:
  • Phone: 812-944-7701
  • Fax: 812-981-6505
Mailing address:
  • Phone: 812-949-5482
  • Fax: 812-949-5966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28124742A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: